SCOTT MITTENTHAL (NPI# 1629275623) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629275623 |
| Entity Type | Individual |
| Full Name | SCOTT MITTENTHAL |
| Credential | MD |
| Practice Address |
801 S Washington St Naperville IL 60540-7430 |
| Mailing Address |
387 Shuman Blvd Suite 240w Naperville IL 60563-8450 |
| Practice Telephone | 6303550450 |
| Mailing Telephone | 6303550450 |
| Enumeration Date | 2007-07-02 |
| Last Update Date | 2017-05-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | 4301089836 | MI | Student, Health Care |
| Street Address |
801 S WASHINGTON ST |
| City | NAPERVILLE |
| State | IL |
| Zip Code | 60540-7430 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790772457 | Stephen P Baldwin | Internal Medicine | 801 S Washington St, 3rd Floor, Naperville, IL 60540-7430 | 2005-09-28 |
| 1528680360 | Jennifer Lynne Hemmer | Nurse Practitioner | 801 S Washington St, Naperville, IL 60540-7430 | 2020-05-14 |
| 1174006290 | Mary Lyons | Clinical Nurse Specialist | 801 S Washington St, Naperville, IL 60540-7430 | 2018-09-13 |
| 1164902318 | Clayton Shelton | Physician Assistant | 801 S Washington St, Naperville, IL 60540-7430 | 2018-08-17 |
| 1891287926 | Ashley Katherine Pinckney | Nurse Practitioner | 801 S Washington St, Naperville, IL 60540-7430 | 2018-06-04 |
| 1174029615 | Heather Mcleland | Nurse Practitioner | 801 S Washington St, Naperville, IL 60540-7499 | 2018-04-03 |
| 1225540305 | Mary E Gardner | Dietitian, Registered | 801 S Washington St, Naperville, IL 60540-7430 | 2017-10-30 |
| 1457877839 | Kaitlyn Rose Rosales | Registered Nurse | 801 S Washington St, Naperville, IL 60540-7430 | 2017-08-17 |
| 1124559117 | Maulik Patel | Internal Medicine | 801 S Washington St, Naperville, IL 60540-7499 | 2017-03-22 |
| 1568903565 | Associated Pathologists and Laboratory Physicians, LLC | Pathology | 801 S Washington St, Edward Hospital Pathology, Naperville, IL 60540-7430 | 2017-03-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760007678 | Mandalai Oral and Maxillofacial Surgery PC | Oral & Maxillofacial Surgery | 720 S. Brom Drive Suite 103, Naperville, IL 60540 | 2020-06-16 |
| 1316418957 | James Edward Frank | Counselor | 600 South Washington Street, Suite 302, Naperville, IL 60540 | 2018-12-07 |
| 1093208332 | Ingrid Johnson | Developmental Therapist | Right Start Pediatric Therapies, 50 S Main St Suite 200, Naperville, IL 60540 | 2018-06-12 |
| 1225528524 | Tara Rada Nieberding | Contractor | 1701 Quincy Ave Ste 12, Naperville, IL 60540 | 2018-05-14 |
| 1588182190 | Debra Xiangjun Hayes | Acupuncturist | 226 N Washington St # 2, Naperville, IL 60540 | 2017-09-03 |
| 1487197166 | Health Improvement and Preventive Services LLC | Family Medicine | 1979 Mcdowell Rd., Suite 103, Naperville, IL 60540 | 2016-11-29 |
| 1588013775 | Matthew Jacob Imber | Chiropractor | 1220 Hobson Rd Ste 220, Naperville, IL 60540 | 2016-06-08 |
| 1457711418 | Elite Pain Medical Group Inc | Physical Medicine & Rehabilitation | 720 South Brom Drive, Suite 201, Naperville, IL 60540 | 2016-03-03 |
| 1265814800 | Jenifer Lynn Mersman | Chiropractor | 475 River Bend Rd. Suite 104, Naperville, IL 60540 | 2015-06-19 |
| 1386038016 | Jonathon Martin Ruiz | Specialist/Technologist | 440 N Brainard Street, Naperville, IL 60540 | 2015-03-19 |
| Find all providers in zip 60540 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467076174 | Gina Rose Bruscianelli | Student in an Organized Health Care Education/Training Program | 982 Huntleigh Dr, Naperville, IL 60540-8207 | 2020-05-29 |
| 1619597523 | Hope Ann D'addario | Student in an Organized Health Care Education/Training Program | 2324 Wellesley Ct, Naperville, IL 60564-4328 | 2020-04-21 |
| 1548889124 | Nicole Framarin | Student in an Organized Health Care Education/Training Program | 1023 Whitewater Ln, Naperville, IL 60540-0376 | 2020-04-13 |
| 1659909042 | Aaron Michael Widger | Student in an Organized Health Care Education/Training Program | 2103 Allegre Cir Apt 312, Naperville, IL 60563-2673 | 2020-03-31 |
| 1689237497 | Mahnoor Ahmad Khan | Student in an Organized Health Care Education/Training Program | 8s060 Indiana Ave, Naperville, IL 60540-9542 | 2019-04-17 |
| 1942769658 | Jessica Neil | Student in an Organized Health Care Education/Training Program | 4715 Sassafras Ln, Naperville, IL 60564-1120 | 2019-03-13 |
| 1265904148 | Cassandra Lenos | Student in an Organized Health Care Education/Training Program | 8425 Una Ave, Naperville, IL 60565-9212 | 2018-12-18 |
| 1851873905 | Helen A Bruckner | Student in an Organized Health Care Education/Training Program | 28w154 Country View Dr., Naperville, IL 60564 | 2018-09-05 |
| 1336674464 | Annie Stock | Student in an Organized Health Care Education/Training Program | 480 Prairie Knoll Dr, Naperville, IL 60565-4155 | 2017-04-26 |
| 1518405729 | Ashley Brown | Student in an Organized Health Care Education/Training Program | 1804 Morgan Cir, Naperville, IL 60565-1776 | 2017-02-08 |
| Find all providers in NAPERVILLE | ||||
| City | NAPERVILLE |
| Zip Code | 60540 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.